| NPI | 1396362141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 010319) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86094005) |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2023-04-26 |